All Wales Accelerating Cardiac Informaics (Click)

Hello Richard Thomas National Cardaic Informatics Manager Wales Cardiac Network NHS Wales Health Collaborative Public Health Wales (Click)

Improving the availability of appropriate patient information at all stages of a patient’s journey Improving the availability of appropriate patient information at all stages of a patient’s journey (Click)

1. Background & Objectives (Click)

Background Information Funding Once for Wales Overall Objective What's in it for you and me Partnership working Accelerated Act as a trailblazer speciality Enable patients to receive their diagnosis and care, from the right clinician, in a shorter time and in a safer auditable pathway. The project is funded by Welsh Government through the Efficiency Through Technology Fund (Click) This is a Once for Wales scaling up and accelerating of the development and implementation of cardiology e-referrals, diagnostic requests and clinical communications to transform cardiology pathways. (Click) The overall objective is to improve availability of appropriate patient information at all stages of a patient’s journey through cardiac services. (Click) In turn, this should help enable patients to receive diagnosis and care, from the right clinician, in a shorter time and in a safer auditable pathway. (Click) Prompt and appropriate access to not only diagnostic testing and specialist cardiology advice but access for all patients to clinically and cost effective treatment and care in line with latest evidence, national standards and guidelines . (Click) We are working with partner organisations to ensure IT and communication links enable clinical staff fast, safe and secure access anywhere in Wales to support the information needed to care for patients. (Click) Working with leading suppliers to maximise the features of existing IT infrastructure to support effective sharing of clinical records/care plans (Click) Supporting the development of community cardiology projects in all Health Boards to enable and maximise the benefits to patients from community cardiology services especially in rural areas. (Click) A Complete review of current referrals and results pathways with a view to the creation of a once for wales solution to allow access from any Health Boards PC at any time, including cross border reciprocal sharing with NHS England. (Click)

2. The Plan (Click)

NWIS Welsh Clinical Portal Roadmap Viewing – WCP allows the: - viewing of clinical documents via the Welsh Care Record Service - viewing of diagnostic reports and results via the Welsh Results Reporting Service - viewing of medical images via the Welsh Imaging Archive Service - viewing of a summary of your medical record held at your GP Practice via both GP System Suppliers in Wales (InPS & EMIS) Requesting – WCP allows a clinician to: - utilise the Welsh Pathology Handbook to view and select the appropriate pathology test - request pathology test via the Welsh Laboratory Information Management System - request diagnostic tests using eDocs held in the Welsh Care Record Service Medicines Transcribing and Electronic Discharge – WCP allows a clinician to: - issue a Discharge Advice Letter electronically via the Welsh Clinical Communication Gateway - utilise the formulary to search medicines to complete pharmacy orders or for discharge Referral Management – WCP allows a clinician to: - electronically prioritise and schedule a referral from a GP practice via the Welsh Admin Portal in Secondary Care and the Welsh Clinical Communication Gateway and GP System Suppliers in Primary Care

Health Board Readiness Organisation Welsh Clinical Communication Gateway Welsh Patient Referral Service Patient Administration System Welsh Clinical Portal Clinical letter Software Local Portal ABHB Yes No WPAS Pilot - v3.7.6 Medsec ABM WAP Lite Cellma DMS C&V Full Clinical Prioritisation PMS Yes - v3.7.6 Generic Letters HD WPAS & Personal Drive CT BCU WPAS from Nov 16 BCU East - e-POC for medicine letters & personal drive Central & West – Personal Drive Powys Personal drive Vel Yes - V3.7.6 This project is dependent on the following projects: The Welsh Care Record Service (WCRS) for availability of the WCRS to store cardiac service clinical documents The Welsh Results Report Service (WRRS) for the availability of storage for all cardiac service diagnostic results and reports across Wales. Additionally to generate Notifications for new Results or Reports. The eDocs project to allow WCP to generate cardiac service electronic documents and facilitate electronic requesting. The Welsh Patient Referral Service (WPRS) to deliver primary care referral prioritisation functionality to the Cardiac network. Welsh Patient Administration System (WPAS (previously known as Myrddin)) and local PAS systems for referral management Third party Suppliers – Cardiac Physiology systems e.g. McKesson and GE for electronic requesting and reporting Local Health Board implementations of the Welsh Clinical Portal (WCP) The project also interfaces with Welsh Clinical Communication Gateway for interactions with WPRS for referral management

Project Deliverables Explain deliverables from slide (Click)

Project Plan Electronic Reporting of Cardiac Diagnostic Services Explain plan from slide (Click) Cwm Taf – Pilot Go-Live – 7th December 2016

Governance Structure An All Wales Accelerating Cardiac Informatics Project Board has been established. The Board will be accountable to Judith Paget as Project Executive of the Heart Disease Implementation Group and Welsh Government. The Welsh Clinical Informatics Council (WCIC) will govern any design and functional changes to the Welsh Clinical Portal. The project will be assured though the Welsh Informatics Assurance Board. Clinical Reference Groups – benefits planning

Thank you! Diolch yn fawr! Email: ricky.thomas@wales.nhs.uk Mobile: 07825 244717 Phone: 01745 448586 Ext 2297 WHTN: 1815 2297 Twitter: @cardiacnetwork Thank you for you time and attention, if you would like any further information please use the contact details shown  (Click)